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UTAH NURSING ASSISTANT REGISTRY 550 East 300 South Maysville, Utah 84037 Phone: (801) 5479947 I certify that the following students have successfully completed a minimum of 100 hours of STATE APPROVED
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How to fill out the "I Certify That" form:

01
Start by obtaining the form from the relevant authority or organization that requires it. This may include government agencies, educational institutions, or employers.
02
Read the instructions and guidelines provided with the form carefully. Make sure you understand the purpose of the form and what information needs to be included.
03
Begin filling out the personal information section. This typically includes your full name, contact details, and any identification numbers or references required.
04
If the form requires you to provide specific details or statements, review them thoroughly. Ensure that you have the necessary information or documentation to support your statements.
05
Use clear and concise language when completing the form. Avoid any false or misleading information, as it could lead to legal consequences.
06
Read the certification statement carefully. This is the part where you declare the accuracy and truthfulness of the information provided. Make sure you fully understand the implications of making this declaration.
07
Sign and date the form in the designated spaces. Some forms may require additional witness signatures or notarization, so ensure you comply with all requirements.
08
Make copies of the filled-out form for your records before submitting it. This is essential for future reference or in case any discrepancies arise.
09
Submit the form to the intended recipient through the preferred method of delivery, such as mailing or online submission portals. Keep track of any confirmation or receipt numbers provided.
10
Retain a copy of the submitted form and any supporting documents in case you need them for future reference or verification.

Who needs the "I Certify That" form?

01
Job seekers: Some employers may require applicants to fill out a form certifying the accuracy of their provided information, such as educational qualifications or work experience.
02
Government agencies: Various government agencies, such as the Internal Revenue Service (IRS), may require individuals to certify specific information when filing certain tax forms or claiming benefits.
03
Educational institutions: Students or applicants to educational institutions might be asked to complete a certification form to verify information regarding their residency, qualifications, or eligibility for scholarships or financial aid.
04
Professional associations: Certain professions or industries may require individuals to certify their compliance with specific codes of conduct or ethical standards.
05
Legal proceedings: In legal matters, individuals may be asked to complete a certification form to confirm the truthfulness of provided information, whether as a witness or involved party.

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